Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 2009
Review Randomized Controlled Trial Comparative Study[Influence of gender on the potency and course of action of rocuronium bromide].
The correlation between gender and the potency of certain neuromuscular blockers, including rocuronium, has been investigated. However, the methods used have been inconsistent. This study aimed to look further at the role of gender in order to arrive at definitive conclusions. ⋯ These results suggest that there is no significant effect of gender on potency or course of action of rocuronium bromide. Reports of such differences based on previous studies may be the result of problems in the methods applied.
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Rev Esp Anestesiol Reanim · Nov 2009
ReviewModern neuraxial labor analgesia: options for initiation, maintenance and drug selection.
In the present review we outline the state-of-the-art of neuraxial analgesia. As neuraxial analgesia remains the gold standar of analgesia during labor, we review the most recent literature on this topic. ⋯ Most authors would agree that central neuraxial analgesia is the best form to manage labor pain. When neuraxial analgesia is administered to the parturient in labor, different management choices must be made by the anesthetist: how will we initiate analgesia, how will analgesia be maintained, which local anesthetic will we use for neuraxial analgesia and which adjuvant drugs will we combine? The present manuscript tries to review the literature to answer these questions.
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Rev Esp Anestesiol Reanim · Aug 2009
Review[Anesthesia for procedures other than neurosurgery in the adult with epilepsy].
Epilepsy is a common disease affecting between 1% and 2% of the general population. The incidence increases with age. ⋯ This review gives an overview of the etiopathogenesis and pathophysiology of epilepsy and describes the general characteristics of antiepileptic drug therapy. The anesthetic implications of chronic treatment with antiepileptic agents and the interactions between these drugs and common anesthetics are discussed in more detail.
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Interventional neuroradiology procedures have become increasingly complex, requiring planning and coordination. Key roles are played by the anesthesiologist and the radiologist, as well as by technicians and nurses. ⋯ Rapid awakening must also be assured so that the patient's neurologic status can be assessed in situ. The anesthesiologist should treat any neurologic complications that develop and that might lead to emergency situations during the procedures.